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《工程(英文)》 >> 2022年 第15卷 第8期 doi: 10.1016/j.eng.2022.05.006

2008—2017年河南省腹泻患者来源单相鼠伤寒沙门菌ST34的基因组流行病学特征研究

a Henan Center for Disease Control and Prevention, Zhengzhou 450016, China
b Key Laboratory of Food Safety Risk Assessment & China National Center for Food Safety Risk Assessment, National Health Commission of the People’s Republic of China,
Beijing 100021, China
c Jiangsu Co-Innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, College of Veterinary Medicine, Yangzhou University,
Yangzhou 225009, China
d Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
e Department of Food Science, National Institutes for Food and Drug Control, Beijing 100050, China
f Centre for Food Safety, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin D04 N2E5, Ireland

收稿日期: 2022-03-13 修回日期: 2022-05-04 录用日期: 2022-05-15 发布日期: 2022-05-29

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摘要

单相鼠伤寒沙门菌(Salmonella enterica serovar 4,[5],12:i:-, S. 4,[5],12:i:-)作为鼠伤寒沙门菌的变种,已成为全球公共卫生领域备受关注的新兴血清型,其在中国的基因组流行病学特征尚不明确。本研究对2008-2017年分离自腹泻患者的100株序列型34型(ST34)S. 4,[5],12:i:-开展的流行情况、耐药表型和群体基因组学的分析发现:多数菌株对氨苄西林、链霉素、磺胺类和四环素耐药(耐药表型ASSuT);基于贝叶斯系统发育分析,中国分离株起源于欧洲谱系,进化为携带不同耐药基因和质粒的两个分支。进化支1中gyrA基因点突变和质粒介导喹诺酮耐药基因携带率较高,而进化支2中多数菌株fljBA操纵子插入了耐药编码区域[编码ASSuT耐药表型,包括blaTEM-1B(氨苄西林耐药)、strAB(链霉素耐药)、sul2(磺胺类耐药)和tet(B)(四环素耐药)],导致了血清型单相变异。IncHI2质粒是该血清型中导致细菌严重耐药的主要可移动遗传元件,普遍存在于进化支1的分离株中。综上,多重耐药S. 4,[5],12:i:-菌株在中国的流行情况日益严重,且进化为携带不同耐药基因的多个谱系,需采取有效措施控制此人畜共患病原体的传播,并基于“同一健康”策略开展监测及制定干预策略。

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